Provider Demographics
NPI:1396863866
Name:FLOYD, LISA ANNE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:FLOYD
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:489 STATE ST
Mailing Address - Street 2:VASCULAR CARE OF MAINE
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6616
Mailing Address - Country:US
Mailing Address - Phone:207-973-6670
Mailing Address - Fax:207-973-5226
Practice Address - Street 1:489 STATE ST
Practice Address - Street 2:VASCULAR CARE OF MAINE
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6616
Practice Address - Country:US
Practice Address - Phone:207-973-6670
Practice Address - Fax:207-973-5226
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2010-09-21
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Provider Licenses
StateLicense IDTaxonomies
ME018583208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery